Gastric band migration to gastrointestinal lumen and possibilities of its surgical treatment

Abstract

Background. Due to numerous late complications after laparoscopic adjustable gastric banding (LAGB), leading to band removal, a significant decrease of its application has been observed. Objectives. The objective of this study was to present complications after LAGB in our own material. Material and methods. The study included 152 obese patients who underwent LAGB between 2005 and 2012. The group of women consisted of 91 patients (60%) with the following preoperative parameters: average body mass index (BMI) 42 ±3.66 kg/m 2 and average body mass 122 ±12.8 kg. The group of men included 61 patients (40%) with a preoperative average BMI 43 ±3.81 kg/m 2 and average body mass 125 ±13.02 kg. The average age of women was 35.02 ±11.6 years and of men 36. 18 ±10.5 years. Results. Among 152 patients after LAGB due to morbid obesity, in 7 (4.6%) migration of the band to the stomach lumen was observed, in 4 port wound purulence occurred, in 3 stomach mucosa ulceration was diagnosed in the band pressure area, 3 reported heartburn and hyperacidity, and 4 suffered from emesis. In all aforementioned patients, body mass loss stopped and they reported lack of restriction after last band regulation. Conclusions. Surgical or endoscopic treatment in patients with a migrated band is an individual matter depending on the type and size of band dislocation, its clinical symptoms and the general state of the patient, but also on the experience of the operating team and the quality of the equipment.

Bariatric Surgery—from the Non-surgical Approach to the Post-Surgery Individual Care: Role of Endoscopy in Bariatric Therapy

“…Erosion of the gastric band can occur in almost 1/3 of the patients [41]. If necessary, the gastric band is then recovered endoscopically [54,55].…”

Introductory Chapter: Bariatric Surgery - Not Alone on This Long Road

“…Initially, patients lost weight but soon adapted to eat less and ate higher calory content [16,17]. But, unfortunately, the band itself was also a source of many other problems like infections [18], migration [19], erosion [20] and even, on rare occasions to gastric perforation [21]. As a result, conversion to other bariatric surgical procedures has not been uncommon [22].…”

Intra-jejunal migration with intestinal obstruction and perforation after gastric banding: A case report

“…According to statistics, approximately 50–80 % of patients with an adjustable gastric band require band removal [ 5 ]. Gastric band migration is a common intragastric migration, while jejunal, ileal, and colorectal migrations are rare [ 6 , 7 ]. A case of intestinal obstruction and perforation caused by gastric wall erosion and migration to the jejunum ten years after LAGB in our hospital was reported.…”